Healthcare Provider Details

I. General information

NPI: 1841125176
Provider Name (Legal Business Name): JOCELYN BURA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 WEST ST
CARTHAGE NY
13619-9703
US

IV. Provider business mailing address

31120 NYS ROUTE 3
FELTS MILLS NY
13638
US

V. Phone/Fax

Practice location:
  • Phone: 315-493-1000
  • Fax:
Mailing address:
  • Phone: 315-222-5680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: